Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Jakubik

Individual provider Acute Care Nurse Practitioner · NPI 1457753956

Michael Jakubik is a Nurse Practitioner in Southfield, Michigan. Qualified in 2014, 12 years ago. Practices with Medpro Primary Care PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (586) 849-3485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704282747 (MI)

Record details

NPI number1457753956
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESSeptember 16, 2014
Mailing addressPo Box 100, Royal Oak, MI 48068-0100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medpro Primary Care Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Southfield